DPEI Group Registration Form

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Please use this from to register for groups/programmes with DPEI. If you have any questions or problems please call/text/WhatsApp Darren on 086-795 3215 or email darren.shanahan@foroige.ie

Name of young person *

Age of young person *

Phone number for young person *

Young Person Email Address - The Zoom link for groups will be sent to both parent/guardian email address as well as the young person's email address. * *

Name of parent/guardian *

Phone number for parent/guardian *

Parent/Guardian Email Address - The Zoom link for groups will be sent to both parent/guardian email address as well as the young person's email address. * *

Has the young person been part of Foróige this year? (If no, parent/guardian will need to complete a permission form for young person to take part) *

Yes

Parent/Guardian - I grant permission for the above named young person to: *

Take part in the Foróige activites online

Receive messages/emails from youth worker in relation to actviities

Be included in photographs or video images which may be taken whilst attending or participating in Foróige activities and I consent to it being used by Foróige for items like Annual Reports, event reports or on Foróíge websites or social media channels

Required

Data Protection Notice *

I confirm that I have read and understood the above Data Protection Information

Which group/programme are you registering for? *

Life Mode

Podcast Group

Health & Wellbeing / Be Healthy, Be Happy

Leixlip Podcast Group

Required

Submit

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